Individual
SHANNON ELAINE WAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 PINE LAKE RD STE 410, LINCOLN, NE 68516-5415
(402) 483-8700
(402) 483-8733
Mailing address
3901 PINE LAKE RD STE 410, LINCOLN, NE 68516-5415
(402) 483-8700
(402) 483-8733
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25490
NE
Other
Enumeration date
01/11/2007
Last updated
09/06/2024
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